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Money never sleeps

“I want you to deal with your problems by becoming rich” As declared by Jordan Belfort in a motivational speech to his staff in the film Wolf of Wall Street (2013). Unfortunately, medicine as a career does not lead to...

Doctor at large

“In 1930, the Republican-controlled House of Representatives, in an effort to alleviate the effects of the… Anyone? Anyone?... the Great Depression, passed the… Anyone? Anyone? The tariff bill? The Hawley-Smoot Tariff Act? Which, anyone…?” In this memorable scene, the monotonous...

Lateral tarsal strip with skin-muscle flap excision in entropion

This was a retrospective study looking at effectiveness of skin-muscle flap in conjunction with a lateral tarsal strip for the correction of involutional entropion. Lateral tarsal strip was combined with a subciliary incision from canthotomy to just lateral to lacrimal...

Outcomes with small aperture IOLs

This study aimed to compare the clinical outcomes following the implantation of an extended depth of focus small-aperture intraocular lens (IOL) (IC-8; AcuFocus, Irvine, CA) for presbyopia correction when implanted monocularly or binocularly. Visual outcomes, defocus curve, patient satisfaction, and...

The results of the last survey Apr24

It has been a few years now since we started these surveys and I continue to be amazed by the variance in our practice. As a patient, I think I would expect there to be more consistency and evidence-based practice....

Cyanoacrylate nail glue accidentally instilled into the eye instead of eye drops

Three hundred thousand cataract operations take place each year in the UK alone and each patient will receive a four week course of drops in order to cover them for any postoperative inflammation or infection. Accidental instillation of cyanoacrylate glue...

Nystagmus surgery

This study used a questionnaire-based assessment of the qualitative experience of adults and parents of children who had 4-muscle tenotomy surgery for nystagmus. Pre and postoperative video recordings and visual acuity measurements were used to objectively assess the physical effect...

Endophthalmitis after intravitreal anti-VEGF injection

The authors report the results of a retrospective multicentre study conducted at 17 retina referral centres to investigate the microbial spectrum of endophthalmitis after anti-VEGF injections. A total of 83 cases of culture-positive endophthalmitis (58.4%) were included. The most frequent...

My Top Five: Visionary inventions in ophthalmology

When we see how technologically forward and advanced modern-day medicine is, we forget that it is also an age-old, ancient profession with a rich, intriguing history that we remain unaware of. Ophthalmology in particular has always been at the forefront...

An ophthalmology elective in Kandy, Sri Lanka

On my first day at The Centre for Sight, Kandy General Hospital, I observed an enucleation. The surgeons worked with quiet precision, preserving the extraocular muscles for prosthesis placement. But when the time came, it became clear that the prosthesis...

Referrals to neuro-ophthalmology

The authors present the findings of a retrospective records review of 300 new patients at a single tertiary neuro-ophthalmology clinic by two ophthalmologists. The case selection was taken from 45 randomly selected days over a four-year period. The authors reported...

Rayner champions earlier conversations about cataract lens options

Cataract surgery is the most frequently performed operation in the UK, with an estimate of 960,000 procedures in 2026i. As demand continues to rise, so does the importance of helping patients understand the intraocular lens choices available to them. For...